Dr. Hendge Ramchandra Dattatray, H18563, Dr. (Mrs) Bhanu Devi
OSSN describes a spectrum of benign,pre-malignant and malignant epithelial lesions of the conjunctiva and cornea.
A 50 year old male presented with brown colored mass on right side of right eye since last 6months.It was painless and slowly growing.He had undergone surgery twice,for similar complains in past two years.
The mass was brown colored,elevated,measuring about 4x3cm.It was situated 1cm from limbus in inter-palpebral area on temporal side of right eye.It was not fixed to underlying sclera and was freely mobile.There were at least 3 prominent feeder vessels.
All routine investigations were normal.Previous histopathological records showed the mass to be squamous neoplasia.Based on these observations,the provisional diagnosis of recurrent OSSN was made and excisional biopsy with intra-operative mitomycin-(0.2mg/ml for 3 min) was done.
Conclusion-Recurrence is of common after simple surgical excision.Intraoperative application of mitomycin-C is a good choice to prevent it.